On-Site Utilization Management Coordinator-Growth & Impact

Henderson Hospital; Lancaster (Lancaster County); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Competitive salary

Tuition reimbursement

401(k) with company match

Career development opportunities

Job summary

Lancaster Behavioral Health Hospital is seeking a qualified professional to manage utilization review and payer communications on-site in Lancaster, PA. You will coordinate with social services, nursing, and intake to ensure timely, accurate documentation and appropriate care levels.

Qualifications include a psych-related bachelor’s, with a master’s preferred, and experience in utilization management. RN or social work licensure is desirable; this role emphasizes collaboration and compliance

Qualifications

• Bachelor’s degree in psychology- or psychiatry-related field or equivalent experience.
• Master’s degree preferred.
• Licensure in nursing or social work as applicable.

Responsibilities

• Performs timely clinical reviews with payer types to secure authorization for continued treatment.
• Collaborates with hospital operations to align documentation with patient conditions.
• Educates treatment team on level of care requirements and payer expectations.
• Monitors denials and ensures documentation supports payment.
• Ensures Midas documentation is updated daily with sufficient detail.

Skills

Utilization Management

Education

Bachelor’s degree in psych related field

Master's degree preferred

Job description

Lancaster Behavioral Health Hospital is seeking a qualified professional to manage utilization review and payer communications on-site in Lancaster, PA. You will coordinate with social services, nursing, and intake to ensure timely, accurate documentation and appropriate care levels.

Qualifications include a psych-related bachelor’s, with a master’s preferred, and experience in utilization management. RN or social work licensure is desirable; this role emphasizes collaboration and compliance